SAVANNAH ADDISON PRUDEN AGNP
NPI 1629845581
Nurse Practitioner - Adult Health in Raleigh, NC
About Savannah Addison Pruden Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAVANNAH ADDISON PRUDEN AGNP (NPI 1629845581) is an individual adult health provider in Raleigh, North Carolina, licensed in North Carolina (5023076) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Savannah Addison Pruden Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27607
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Savannah Pruden's NPI number?
The NPI number for Savannah Pruden is 1629845581. It was assigned to this individual provider in the NPPES registry on December 11, 2023. The provider is also known as Savannah Addison Davis.
Where is Savannah Pruden located?
Savannah Pruden practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-7110.
What is Savannah Pruden's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Savannah Pruden enrolled in Medicare?
Yes. Savannah Pruden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Savannah Pruden affiliated with any hospitals?
According to CMS data, Savannah Pruden is affiliated with Rex Hospital.
When was this NPI record last updated?
The NPPES record for Savannah Pruden was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Savannah Addison Pruden, AGNP · NPI 1629845581
Adult Health physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since December 11, 2023.
## Identity
- **NPI:** 1629845581 (Entity type: Individual)
- **Enumerated:** December 11, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 5023076 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 LAKE BOONE TRL, Raleigh, NC 27607-7505
- **Phone:** (919) 784-7110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629845581) · Data from the CMS NPPES public registry.